Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 000398 | CT |
NPI | 1043244924 |
---|---|
Provider Name | Linda Lee Cook |
First Address | Danbury, CT 06810-6099 |
Second Address | Danbury, CT 06810-6099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |